<html>
<head>
	<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
</head>
<body>
<wicket:extend>
<div id="primary4">
        <h6>
        <span wicket:id="checkout.title">#</span>
        </h6>
        <p6>
        <span wicket:id="checkout.subtitle">#</span>
        </p6>
        <div class="checkoutadd">
		<form wicket:id="form">
			<table>
				<tr>
					<td align="right"><span wicket:id="checkout.address">#</span></td>
					<td><input wicket:id="street" type="text" /></td>
				</tr>
				<tr>
					<td align="right"><span wicket:id="checkout.zip">#</span></td>
					<td><input wicket:id="zipcode" type="text" /></td>
				</tr>
				<tr>
					<td align="right"><span wicket:id="checkout.city">#</span></td>
					<td><select wicket:id="city"><option>Hard</option><option>Soft</option></select></td>
				</tr>
						
				<tr>
					<td align="right"><span wicket:id="checkout.phone">#</span></td>
					<td><input wicket:id="phonenumber" type="text" /></td>
				</tr>
				<tr>
					<td>&nbsp;</td>
					<td>
					<input type="button" wicket:id="cancel" value="Odustani" />
					<input type="submit" wicket:id="order" value="Naruči" />
					</td>
				</tr>
			</table>
		</form>
		</div>
		</div></wicket:extend>
</body>
</html>